在有饮食障碍的公共保险青少年中描述医疗并发症
Amanda E Downey1, Kate Cordell2, Lonnie R Snowden3
1Department of Pediatrics, University of California, San Francisco, San Francisco, California; Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California.
概括
大多数患有饮食障碍 (ED) 的年轻人缺乏医疗诊断,这表明护理障碍. 拉丁裔年轻人不太可能接受医学不稳定的诊断,突出了饮食障碍的护理差异.
科学领域:
- 儿科医学 儿科医学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 饮食障碍 (ED) 是一种严重的精神健康状况,具有重要的医学并发症.
- 患有ED的公共保险的年轻人经常面临着获得专业医疗护理的挑战.
- 早期识别和管理医疗并发症对于改善ED患者年轻人的治疗结果至关重要.
研究的目的:
- 为了确定与ED相关的医学诊断在公共保险的年轻人中的患病率.
- 将ED医疗诊断与其他精神疾病诊断进行比较.
- 确定与接受EDS的年轻人医学诊断相关的人口因素.
主要方法:
- 对2014-2016年加利福尼亚州7-18岁受益人的医疗补助索赔数据的分析.
- 提取了8075名ED诊断的年轻人的人口统计和诊断数据.
- 在EDS和EDS之间比较医疗诊断,情绪/焦虑和精神病障碍,调整人口统计.
主要成果:
- 四分之三的患有ED的年轻人没有被诊断出患有医学并发症.
- 胸是最常见的诊断,表明医疗不稳定.
- 患有ED的青少年比患有其他精神疾病的青少年有更高的医学诊断几率,根据年龄和性别而异.
- 拉丁裔青年不太可能被诊断为医疗不稳定.
结论:
- 在公共保险的年轻人中,对ED相关并发症的医学诊断存在重大差距.
- 结构性障碍阻碍了ED的年轻人获得基本医疗护理.
- 针对性查和改善医疗保健系统整合对于这一群体来说是必要的.
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